GAMBLE HOSPICE CARE NORTHWEST, LLC (NPI# 1225079643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225079643 |
| Entity Type | Organization |
| Organization Name | GAMBLE HOSPICE CARE NORTHWEST, LLC |
| Other Organization Name | AIME HOSPICE CARE |
| Practice Address |
8950 E Kings Hwy Shreveport LA 71115 |
| Mailing Address |
600 N Pearl St Ste 1050 Dallas TX 75201-7495 |
| Practice Telephone | 3188612150 |
| Practice Fax Number | 3188612157 |
| Mailing Telephone | 2142527600 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-03-03 |
| Authorized Official Name | MICHAEL BEAL (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2142527600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 315D00000X | Hospice, Inpatient | 150 | LA | Nursing & Custodial Care Facilities |
| N | 315D00000X | Hospice, Inpatient | 2203781702-I | LA | Nursing & Custodial Care Facilities |
| Y | 251G00000X | Hospice Care, Community Based | 2203781702 | LA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1581089 | 05 |
| Other Name | Type Code |
|---|---|
| Aime Hospice Care | Doing Business As Name - Organization |
| Street Address |
8950 E KINGS HWY |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064016 | The Carpenter Center for Palliative Medicine of Shreveport, LLC | General Acute Care Hospital | 8950 E Kings Hwy, Shreveport, LA 71115-2704 | 2020-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740829217 | Bno Surgical Consultants, LLC | Physician Assistant | 303 Captain Hm Shreve Blvd, Shreveport, LA 71115 | 2020-01-02 |
| 1902310899 | Islam LLC | General Acute Care Hospital | 9815 Paragon Ln, Shreveport, LA 71115 | 2017-11-30 |
| 1508304569 | Marcel White | Case Manager/Care Coordinator | 9050 Youree Dr, Apt 105, Shreveport, LA 71115 | 2017-02-09 |
| 1114392784 | Marilyn Sparks | Counselor | 9999 Smitherman Dr Apt 502, Shreveport, LA 71115 | 2015-12-08 |
| 1699031237 | Cody Tingle | Internal Medicine | 8001 Youree Dr Ste 400, Shreveport, LA 71115 | 2012-04-09 |
| 1629366885 | Pankaj Sharma | Psychiatry & Neurology | Department of Neurology, Lsuhsc Shreveport, 1501 Kings Highway, Shreveport, LA 71115 | 2011-07-21 |
| 1396914750 | Lisa L Jawahar | Radiologic Technologist | 429 Creek Holw, Shreveport, LOUISIANA 71115 | 2008-02-29 |
| 1720291412 | Larry Kenneth Robinson Jr. | Dentist | 8856 Youree Dr, Suite C, Shreveport, LA 71115 | 2007-05-08 |
| 1952471609 | Shining Star Professional Services Inc | Social Worker | 9050 Youree Drive, #1004, Shreveport, LA 71115 | 2006-11-09 |
| 1922178854 | Akee Lj Jackson | Social Worker | 9050 Youree Dr. #1004, Shreveport, LA 71115 | 2006-11-08 |
| Find all providers in zip 71115 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184181182 | Heart of Hospice LLC | Hospice Care, Community Based | 3829 Gilbert Dr, Shreveport, LA 71104-5005 | 2019-02-26 |
| 1912476615 | Heart of Hospice LLC | Hospice Care, Community Based | 2531 E 70th St, Shreveport, LA 71105-4001 | 2018-11-26 |
| 1861883183 | Lhcg Xliv, LLC | Hospice Care, Community Based | 2529 E 70th St, Suite 306, Shreveport, LA 71105-4046 | 2015-02-09 |
| 1194034868 | Carson Investments of Louisiana, Inc | Hospice Care, Community Based | 4427 Youree Dr, Shreveport, LA 71105-3620 | 2010-09-29 |
| 1710199351 | Harmony Life Hospice, Inc. | Hospice Care, Community Based | 2529 East 70th Street, Suite 306, Shreveport, LA 71105-4044 | 2007-05-04 |
| 1386856482 | Assurance Care Services Inc. | Hospice Care, Community Based | 4908 Monkhouse Dr, Shreveport, LA 71109-6114 | 2007-05-03 |
| 1689771552 | Circle of Life Hospice, Inc. | Hospice Care, Community Based | 920 E 70th St, Suite B, Shreveport, LA 71106-3400 | 2006-09-20 |
| 1780786590 | Community Hospices of America, Inc. | Hospice Care, Community Based | 8660 Fern Ave, Suite 145, Shreveport, LA 71105-5649 | 2006-09-02 |
| 1639109952 | Jordan's Crossing Hospice, LLC | Hospice Care, Community Based | 624 Travis St, Suite 700, Shreveport, LA 71101-3013 | 2006-07-03 |
| 1063470847 | Lifepath Hospice Care Services, LLC | Hospice Care, Community Based | 1500 N Market St, Suite B 108, Shreveport, LA 71107-6537 | 2006-05-02 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71115 |
Please comment or provide details below to improve the information on GAMBLE HOSPICE CARE NORTHWEST, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.